A Smart Textile Band Achieves High-Quality Electrocardiograms in Unrestrained Horses

SIMPLE SUMMARY: Electrocardiography is a method used to understand equine cardiovascular health and fitness. While electrocardiograms (ECGs) are essential, the devices typically utilized are limited by their reliance on adhesive electrodes. Therefore, the aim of this study was to compare ECG quality obtained using a smart textile band to the standard adhesive electrodes. ECGs were recorded simultaneously using both electrode types in stalled horses. We did not observe any significant differences in ECG signal quality, the degree of motion artifacts, or the output of heart rate. These results indicate that smart textile electrodes are a reliable alternative to adhesive electrodes for ECG data collection in horses at rest. ABSTRACT: Electrocardiography (ECG) is an essential tool in assessing equine health and fitness. However, standard ECG devices are expensive and rely on the use of adhesive electrodes, which may become detached and are associated with reduced ECG quality over time. Smart textile electrodes composed of stainless-steel fibers have previously been shown to be a suitable alternative in horses at rest and during exercise. The objective of this study was to compare ECG quality using a smart textile girth band knit with silver and carbon yarns to standard adhesive silver/silver chloride (Ag/AgCl) electrodes. Simultaneous three-lead ECGs were recorded using a smart textile band and Ag/AgCl electrodes in 22 healthy, mixed-breed horses that were unrestrained in stalls. ECGs were compared using the following quality metrics: Kurtosis (k) value, Kurtosis signal quality index (kSQI), percentage of motion artifacts (%MA), peak signal amplitude, and heart rate (HR). Two-way ANOVA with Tukey’s multiple comparison tests was conducted to compare each metric. No significant differences were found in any of the assessed metrics between the smart textile band and Ag/AgCl electrodes, with the exception of peak amplitude. Kurtosis and kSQI values were excellent for both methods (textile mean k = 21.8 ± 6.1, median kSQI = 0.98 [0.92–1.0]; Ag/AgCl k = 21.2 ± 7.6, kSQI = 0.99 [0.97–1.0]) with <0.5% (<1 min) of the recording being corrupted by MAs for both. This study demonstrates that smart textiles are a practical and reliable alternative to the standard electrodes typically used in ECG monitoring of horses.